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Whitney Mae Reed Jason

Registered Nurse in Thibodaux, LA. Individual provider (NPI-1).

NPI number1164024295
StatusActive
Last updated in NPPESNov 13, 2020

Details

NPI
1164024295
Entity type
Individual (NPI-1)
Name
Whitney Mae Reed Jason
Sex
Female
Sole proprietor
No
Enumeration date
Nov 13, 2020
Certification date
Nov 13, 2020
Last updated
Nov 13, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered NurseRN128651LAYes

Practice location

2535 Veterans Blvd
Thibodaux, LA 70301-4363

Phone 985-447-0916

Mailing address

1434 Tiger Dr
Thibodaux, LA 70301-4337

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